摘要
探讨达芬奇机器人手术系统（da Vinci Surgical System）在甲状腺手术中的有效性、安全性及临床应用价值。回顾性分析2014年2月～2015年5月在济南军区总医院收治并由达芬奇机器人实施甲状腺手术的75例患者的临床资料。75例均成功采用达芬奇机器人环状游离法完成甲状腺手术。单侧腺叶＋峡部切除术30例，甲状腺全切＋中央区淋巴结清扫术45例，75例达芬奇机器人甲状腺手术的平均手术时间（149．0±28．2）min；术中出血量平均（10．0±2．8）ml，术后平均住院天数（4．1±1．2）d。所有患者均无喉返神经损伤、永久性甲状旁腺功能减退等并发症，平均随访1个月～14个月。达芬奇机器人手术系统具有良好的有效性、安全性及美容效果，对复杂的甲状腺手术具有明显的优势。
To evaluate the application of the Davinci surgical system for thyroid disease. Between February 2014 and May 2015,75 patients with thyroid diseases underwent robotic thyroid surgeries at the Jinan Military General Hospital and were analyzed retrospectively. All patients successfully complete the robotic thyroidectomy with method of circular mobilization. O{ the patients,30 cases of unilateral thyroidectomy,45 cases of thyroidectomy plus central neck dissection. The operative time for thyroidectomy was （149. 0 ± 28. 2） min. The intraoperative blood loss was （10. 0 ± 2. 8） ml. The length of postoperative hospital stay was （4. 1 ± 1. 2） d. Follow-up observations in all cases were 1 - 14 months. There are no perpetual low parathyroid function and laryngeal nerve injury. The robotic surgeries were perfomed successfully on 75 patients. The minimally invasive surgery for thyroid diseases was safe and feasible when assisted by the Da Vinci surgical system,and there was a potential ascendancy in the complicated the thyroid surgery. Ifs a way to have good cosmetic effect of surgery.
出处
《医学与哲学（B）》
2015年第11期47-50,共4页
Medicine & Philosophy(B)
基金
中国博士后科学基金第三批特别资助项目
项目编号:No.201003759
济南军区总医院院长基金资助项目
项目编号:No.2011M03
2013ZD 005
